Predictors of pediatric cochlear implantation outcomes in South Africa

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dc.contributor.author Le Roux, Talita
dc.contributor.author Vinck, Bart M.
dc.contributor.author Butler, Iain
dc.contributor.author Cass, Nicolize
dc.contributor.author Nauta, Leone
dc.contributor.author Louw, Liebie
dc.contributor.author Schlesinger, Dani
dc.contributor.author Soer, Maggi E. (Magdalena Elizabeth)
dc.contributor.author Tshifularo, Mashudu
dc.contributor.author Swanepoel, De Wet
dc.contributor.author Soer, Maggi
dc.date.accessioned 2016-04-21T07:10:20Z
dc.date.issued 2016-05
dc.description.abstract OBJECTIVE : To identify and describe predictors of pediatric cochlear implantation outcomes in a South African population. METHODS : A retrospective study of 301 pediatric cochlear implant (CI) recipients from five CI programs was conducted and cross-sectional outcome data were added at the time of data collection. Twenty potential prognostic factors were identified from the retrospective dataset, including demographical, CI, risk and family factors. Multiple regression analyses were performed to identify predictor variables that influence outcomes in terms of auditory performance (CAP scores), speech production (SIR scores), communication mode and educational placement. RESULTS : Although implanted children within this sample did not have equal opportunity to access a second implant, bilateral implantation was strongly predictive of better auditory performance and speech production scores, an oral mode of communication and mainstream education. NICU admittance/ prematurity were associated with poorer auditory performance and speech production scores, together with a higher probability for non-oral communication and non-mainstream education. The presence of one or more additional developmental condition was predictive of poorer outcomes in terms of speech production and educational placement, while a delay between diagnosis and implantation of more than one year was also related to non-mainstream education. Ethnicities other than Caucasian were predictive of poorer auditory performance scores and a lower probability for mainstream education. CONCLUSION : An extensive range of prognostic indicators were identified for pediatric CI outcomes in South Africa. These predictive factors of better and poorer outcomes should guide pediatric CI services to promote optimal outcomes and assist professionals in providing evidence-based informational counseling. en_ZA
dc.description.department Speech-Language Pathology and Audiology en_ZA
dc.description.department Otorhinolaryngology en_ZA
dc.description.department Statistics en_ZA
dc.description.embargo 2017-05-31
dc.description.librarian hb2016 en_ZA
dc.description.uri http://www.elsevier.com/locate/ijporl en_ZA
dc.identifier.citation Le Roux, T, Vinck, B, Butler, I, Cass, N, Louw, L, Nauta, L, Schlesinger, D, Soer, M, Tshifularo, M & Swanepoel, DW 2016, 'Predictors of pediatric cochlear implantation outcomes in South Africa', International Journal of Pediatric Otorhinolaryngology, vol. 84, pp. 61-70. en_ZA
dc.identifier.issn 0165-5876 (print)
dc.identifier.issn 1872-8464 (online)
dc.identifier.other 10.1016/j.ijporl.2016.02.025
dc.identifier.uri http://hdl.handle.net/2263/52090
dc.language.iso en en_ZA
dc.publisher Elsevier en_ZA
dc.rights © 2016 Elsevier Ireland Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in International Journal of Pediatric Otorhinolaryngology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Journal of Pediatric Otorhinolaryngology, vol. 84 , pp. 61-70, 2016. doi : 10.1016/j.ijporl.2016.02.025 en_ZA
dc.subject Prognostic factors en_ZA
dc.subject Children en_ZA
dc.subject Outcomes en_ZA
dc.subject Pediatric cochlear implant en_ZA
dc.subject Cochlear implant (CI) en_ZA
dc.title Predictors of pediatric cochlear implantation outcomes in South Africa en_ZA
dc.type Postprint Article en_ZA


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